Aortic Valve Surgery by Noboru Motomura PDF

By Noboru Motomura

ISBN-10: 9533076003

ISBN-13: 9789533076003

The aortic valve is found on the heart of the center. it's the middle of cardiac anatomy and aortic valve surgical procedure has led the sphere of cardiac surgical procedure. This publication describes all elements of aortic valve surgical procedure and it'll support make clear day-by-day questions in regards to the scientific perform in aortic valve surgical procedure, in addition to set off proposal and new insights into this box.

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Besides, the valve types compared in these studies are limited. Large studies comparing all the prosthetic valves the autografts, mechanic valves, xenograft tissue valves will be helpful for the optimal prosthetic valve choice. Because, the increase of durability for new generation biological valves and the decrease of the elective operations risk by the improvements of surgical techniques, the biological valves will be used widespread in the younger patients (Silberman, 2008; Bonow, 2006). We have to present this option to patients.

Young female patients planning to become pregnant is a special patient group. In these patients, with the avoidance of an anticoagulation therapy during the pregnancy via biological valve replacement (De Santo, 2005), in experienced centers Ross procedure is offered as an alternative therapy (Bonow, 2008). Additionally, it is suggested that not only the mechanical prosthetic valves or anticoagulant agent usage, but at the same time the acceleration of the structural degeneration of biological valves is an important issue needed to be avoided during the pregnancy (Jamieson, 1988).

385) was associated with increased percentage of favorable prognosis. We have found that if SI was >40 ml/m2 (SV=80 ml), positive surgery prognosis was more than 80% (Figure 4). Analysis of influence of baseline EDV and ESV on postoperative LV EF has shown that this value was greater in patients with preserved LV parameters (Figure 5), and in patients with significant reduction of LV EDV and ESV (Figure 6). The performed analysis revealed that in patients with normal LV myocardial contractility at baseline we had good prognosis and increased LV EF after surgery.

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Aortic Valve Surgery by Noboru Motomura

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